Provider Demographics
NPI:1942974712
Name:ELKHATIB, ABDUL HASSAN ZEIN (PHARMD RPH)
Entity Type:Individual
Prefix:MR
First Name:ABDUL HASSAN
Middle Name:ZEIN
Last Name:ELKHATIB
Suffix:
Gender:M
Credentials:PHARMD RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1910 EILEEN RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-3906
Mailing Address - Country:US
Mailing Address - Phone:419-386-6622
Mailing Address - Fax:
Practice Address - Street 1:1910 EILEEN RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-3906
Practice Address - Country:US
Practice Address - Phone:419-386-6622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-05
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03438964183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist